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The Certified Insurance Fraud Representative (CIFR) program is a newly developed certification program for claim representatives. These claims representatives possess the requisite specialized skills required for the early detection of fraud, to properly conduct preliminary claims investigations and to provide quality referral to SIU. The program has a high standard for admission and testing which includes adherence to IASIU’s code of ethics, as well as the demonstration of competency through mandatory continuing professional education.

Submit a copy of their NICTA student home page (this will show the dates) and grades for the courses that have been completed.

Submit a letter of reference from their company SIU/Manager.

Application/Designation Requirements:The requirements in order to attain the CIFR designation will be made of the following four components:

1. Certification Reference: The reference should come from SIU Management confirming that the applicant is an appropriate candidate for designation and that the applicant proactively identifies questionable claims on a regular basis.

2. The completion of 10 NICTA Courses:

5 General Core Courses (required)

Customer Service and Fraud Investigation

Insurance Fraud Basics

Introduction to Insurance Fraud Investigation

Listening for Deception in Claims Interviews

Recognizing Organized Insurance Fraud

5 Elective Courses (chosen by candidate): It is recommended that at least two of the following courses be taken as part of the 5 course elective requirement. The recommended courses are selected in order to provide a well-rounded background for the claims representative.

Detecting Fraud for Underwriters

Field Safety Course

Identity Theft/Fraud

Using the Social Network for Investigations

The Internet: An Investigative Tool

The representative must achieve a passing score on all the above NICTA courses. The courses also have to be taken within the past 180 days. Courses and passing scores outside of this 180 day timeframe will not qualify for the CIFR requirement. Certificates of Completion must be presented at time of CIFR application. Any non-tested NICTA content (Online Reference, Medical Snapshots, Streaming Videos, and Webcasts) will not count toward the elective requirement.

3. Evidence of Training/Seminar Attendance: Applicants must attend an NICB or IASIU sponsored training session/conference where a minimum of five hours of fraud prevention training was offered. This requirement can be satisfied by attending one event or combining multiple events to total five hours. Certificate or copy of sign-in sheet must be provided. We will also accept training from the following organizations if the training directly relates to insurance fraud investigation:

International Association of Arson Investigators (IAAI)

Association of Certified Fraud Examiners (ACFE)

International Association of Auto Theft Investigators (IAATI)

4. The completion of 10 hours of field investigation observation: A letter of recommendation will be submitted by their company SIU Investigator. The letter will indicate that the representative has a spent a minimum of 10 hours in the field accompanying the SIU Investigator via “ride-alongs”. Time can be accumulated over several sessions and can be made up of field investigation, in-person interviews, attendance at EUOs, etc. The representative will be in the observing mode and therefore will not actually conduct the activity.

Once certified, the representative will have to complete 15 CEU and submit a renewal application every 3 years in order to maintain certification. The current recertification fee is $50.

Qualifiers will mirror those of CIFI re-certification requirements and include the following:

NICTA courses (5 additional NICTA courses, of the representative’s choice must be taken over the next 3 years)

NICB or IASIU sponsored classes/Seminars

An updated letter of reference from the representative’s member company SIU Investigator (to reiterate and confirm that the representative is in fact still meeting all company fraud fighting and education requirements)